Oct 11th, 2021
Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (the Departments), along with the Office of Personnel Management (OPM), released an interim final rule (IFR) with comment period, ...
In Billing
Oct 1st, 2021
Improve claims payment rates by knowing what dictates coding and billing policies. I was presenting at a local chapter meeting when a medical coding student asked a question about the topic I was covering. “I don’t mean to be dense, but why do we do it that way?” she asked. I am sure the look ...
Sep 30th, 2021
Payers and hospitals call for a delay until 2023 as they wait for key elements of the NSA to be released and an end to the public health emergency. As the Jan. 1, 2022, compliance date for the No Surprises Act (NSA) that bans surprise (balance) billing approaches, insurers and hospitals are asking to delay ...
Sep 7th, 2021
Medical practitioners in Michigan are held responsible for their role in Medicare fraud scheme. On Aug. 24, U.S. Attorney Andrew B. Birge announced criminal and civil enforcement actions against four Michigan medical practitioners for their role in perpetuating a telemedicine scheme to defraud Medicare. The practitioners signed off on illegitimate orders for medical braces and ...
Here’s what you need to know to protect your healthcare entity’s revenue stream. We all know that the heart is one of the most important organs of the body. The heart is responsible for multiple life-giving processes such as enabling the transportation of nutrients, hormones, oxygen, and waste products throughout the body. When your heart ...